1025 Beach Ave DEMO23-0017 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
FLEMING DAVIS 1951 BEACH AVE ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
JAX DIRTWORKS INC 310 MEALY DR ATLANTIC BEACH FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170264 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1025 BEACH AVE DEMO COMPLETE Complete Demo $21000.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC UTILITIES DISCONNECT AND CAP INFORMATIONAL
Notes:
Disconnect and cap water and sewer lines. CAPPED SEWER LINE MUST BE LOCATED AT PROPERTY LINE AND STANDPIPE MUST BE VISIBLE ABOVE
GROUND LEVEL.
2 PUBLIC UTILITIES INSPECTION PRIOR TO DEMOLITION INFORMATIONAL
Notes:
MUST CALL 247-5814 FOR A PRE DEMO INSPECTION OF THE DISCONNECTED AND CAPPED WATER AND SEWER LINES PRIOR TO DEMOLITION.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 3Issued Date: 6/8/2023
PERMIT NUMBER
DEMO23-0017
ISSUED: 6/8/2023
EXPIRES: 12/5/2023
DEMO PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
3 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL
Notes:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line (904-247-
5814) to request an Erosion and Sediment Control Inspection prior to start of construction.
4 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
5 PUBLIC WORKS DUMPSTERS/ROLL-OFF CONTAINERS INFORMATIONAL
Notes:
Dumpsters and roll-off containers must be used in compliance with Section 16-8 and must comply with all standards, per City code.
6 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
7 PUBLIC WORKS UTILITY ROAD CUT INFORMATIONAL
Notes:
Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut.
Repair must be shown on the plans.\r\r\r\r\r\r\r
8 PUBLIC WORKS CONSTRUCTION SITE MANAGEMENT INFORMATIONAL
Notes:
Provide construction site management plan, including location of silt fence, dumpster, portable toilet. Right-of-Way Permit is required if using right-of-
way for construction parking.
9 PUBLIC WORKS SLAB DRIVEWAY REMOVAL INFORMATIONAL
Notes:
Slab and driveway to be fully removed.
10 PUBLIC WORKS GRASS INFORMATIONAL
Notes:
Full site to be grassed.
11 PUBLIC WORKS REVISION INFORMATIONAL
Notes:
Any plan change must be submitted as a Revision to the Building Department.
12 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL
Notes:
All construction debris must be removed from job site by Contractor.
13 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
2 of 3Issued Date: 6/8/2023
PERMIT NUMBER
DEMO23-0017
ISSUED: 6/8/2023
EXPIRES: 12/5/2023
DEMO PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
DEMOLITION 455-0000-322-1000 0 $100.00
PU REVIEW BUILDING MOD OR ROW 001-0000-329-1007 0 $25.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $154.00
3 of 3Issued Date: 6/8/2023
PERMIT NUMBER
DEMO23-0017
ISSUED: 6/8/2023
EXPIRES: 12/5/2023
DEMO PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Final Plumbing
Final Electrical
Final HVAC
CC Final
Final Building*
Swimming Pool Steel
Swimming Pool Safety
Electrical Grounding & Bonding
Swimming Pool Final (Bldg)
Swimming Pool Final (PW)
Formed Columns/ Beams*
Masonry Cell Fill
Structural Steel*
OTHER:
OTHER:
OTHER:
OTHER:
OTHER:
Power Pole
Silt Fence
Piers/ Stem Walls
Underground Plumbing
Underground Electric
Foundation/ Footing
Slab**
Retaining Wall Footing
Driveway
Sewer (Building Dept)
Sewer Tap (Utilities Dept)
Rough Electric*
Rough Plumbing/ Top Out*
Rough Mechanical*
House Wrap
Wall Sheathing
Roof Sheathing
Tie-down Framing Connections
Rough Framing
Roofing In Progress
Window/Door In-Progress
Insulation Ceiling
Insulation Wall
Exterior Lath
Stucco Scratch Coat
Exterior Siding In-Progress
Brick Flashing & Ties
Early Power
Gas Rough
Gas Final*
* When all rough electric, plumbing, mechanical are complete but before any work is
covered up.
* When all gas piping is complete and wallboard is installed but before gas is
attached to any appliance. All outlets must be capped and pipe pressurized at a
minimum of 15 lbs.
* For new living space: When all construction work including electrical, plumbing,
mechanical, exterior finish, grading, required paving and landscaping is complete
and the building is ready for occupancy, but before being occupied
Additional inspections may apply to your project if your project
contains these elements:
INSPECTIONS REQUIRED FOR BUILDING PERMITS
To verify compliance with building codes, inspections of the work authorized are required at various points of the construction.
The following inspections are typically required for residential projects:
Date: Initial: Date: Initial:
_____________________________________________________
Permit Type
____________________________________________________
Permit No.
__________________________________________________________
Job Address
____________________________________________________
Contractor
POST THIS CARD WITH PERMITS AND PERMIT
DOCUMENTATION IN FRONT OF BUILDING
Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends
Building Department Public Works/Utilities Fire Department
Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789
Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203
* When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all
electrical, plumbing and mechanical work is in place, but before concrete is poured.
* When all structural steel members are in place and all connections are complete,
but before such work is covered or concealed.
** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION
Complete Demo
1025 BEACH AVE
JAX DIRTWORKS INC
DEMO23-0017
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
r
IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Address: i 02S h ' - f E2 / A 6 3 2?3 Permit Number: !
iUr '
9 2- °C)1/
Legal Description (0-1 t.v -7 5 c1 P i- 1s I 2 12 6- RE# I-7 O 2`'1 - 000o'
Q. totpQJ 1 w; L - 4( C-)eValuationofWork(Replacement Cost)$t ,uUS 71UHeated/Cooled SF A Non-Heated/Cooled
Class of Work: New Addition Alteration Repair Move *emo Pool Window/Door
Use of existing/proposed structure(s): Commercial VResidential
If an existing structure,is a fire sprinkler system installed?: Yes 2JVo
Will tree(s)be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) )(No
Describe in detail the type of work to be performed: A0 G1 T c 1.1 Sh `c. S1'Th'" C -,Pc/3 C1-1-e-4
C (G C
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name DAN t S i=----LE-1A-4 1 nJ Address v CI \?Jr'C 1-C c--0 L
City 01 C (lye 1c CVs State rz— Zip 3223-3 Phone `)I - (c 31- C\
E-Mail ate-1‘A•lL:ekci SQiAA,Cd2er, -G v
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company y 0i r4I.cJGrks Qualifying Agent rn/HO/C/16)C)
Address 2/0,/"iG&Iy Or. City A-/ Cet- h State FL Zip 3I 3 z
Office Phone 6 e Z 3()((Job Site Contact Number ,L%
6/7 7 h Q 3
State Certification/Registration# (66 /,7)62'/31 E-Mail Eli
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer FF(/A OR Exempt Expiration Date /// / (.2'/
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LEND- ` •R AN ATTO f : FORE
RECORDING YOU ' NOTICE OF COMMENCEMENT
lik.of Owner or Agent)W w (Signatur of Contractor)
Signed and sw.rn to(or affirmed)before me this l`( day of S::ne, and sworn to(or affirmed)before me this 1.6 day of
i_ _ ed;- thee.• e_ u• DOM ,by (`(lere-A tit \l W ec<<
GO Notary Pudic State of Florida 41`
s; Meredith Kneece Signature of Notary Signature of Notary)
r . My Commission HH 125725
cleExpires 05/03/2025
ersonally Known OR Personally Known OR err Notary Public State of Florida
QKProduced Identification_roduced Identification S Meredith Kneece
Type of Identification: ,,x iu'9 ,C-VMS, of Identification:
011r
MY HH 125725
a''
E.pirea 05/0302025
NOTICE OF COMMENCEMENT
State of F/or f c1 Tax Folio No. / 7°)6 7 -0000
County of Q CA u
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes,the following information)s s ated i thi N TICE OF COMMENCEMENT.
Legal Description of property being improved: 67-/ / aq 1% 1q C nag'a-,
T Go-fs 1)9r-cc/ 0/16 foo.g7- /;R lo1L 3 /2)/,.K.
Address of property being improved: /C5af i reecki4L/e_, ,..441677 Aer ch l- 4 -1,Ra 3 3
General description of improvements: DkmG /!7iCv oc-- /')C tJ—c
Owner: i s F Ie,,,V)
5 Address: /Q6-1 6c7 -c.'G
Owner's interest in site of the improvement: o Clir2C7----
Fee Simple Titleholder(if other than owner):
Name:
Contractor: ..' crX , r.6-ks
Address: TO ./1"7(Z/y Qr _....4-{-kat f,z 6each /-72- 3 3 Lri
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Telephone No.: / 3PC Fax No:
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Surety(if any)g CI
Address: Amount of Bond$Q-
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Telephone No: Fax No:eNi
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Name and address of any person making a loan for the construction of the improvements o o
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Name: o a)
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Address:
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Phone No:Fax No:
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Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other docurr
be served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed:Date: C. t 2 3
Before me this I' ( day of C,a c)('S in the County of Duval,State
Of Florida,has personally appeared • v:S \e'I` t-\
Notary Public State of Florida Notary Public at Large,State of Florid County of Duval."
1, Meredith
U
Kneoce
My commission expires: (DS 1O-c Uoa 5
y MY Commission HH 125725
Ojai Expires 05/03/2025 Personally Known:' or
7
Produced Identification: 'Dr;r..r L' Gt'_n"
Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED. City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #: _____________________
Revision to Issued Permit OR Corrections to Comments Date: ________________
Project Address: ____________________________________________________________________________________
Contractor/Contact Name: ____________________________________________________________________________
Contact Phone: ______________________________ Email: _________________________________________________
Description of Proposed Revision / Corrections:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
I_______________________________ affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
Will proposed revision/corrections add additional square footage to original submittal?
No Yes (additional s.f. to be added: _____________________________)
Will proposed revision/corrections add additional increase in building value to original submittal?
No *Yes (additional increase in building value: $____________________) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: _______________________________________________________
__________________________________________________________________________________________________
(Office Use Only)
Approved Denied Not Applicable to Department Permit Fee Due $_______________
Revision/Plan Review Comments_______________________________________________________________________
__________________________________________________________________________________________________
Department Review Required:
Building _____________________________________________
Planning & Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities _____________________________________________
Public Safety Date
Fire Services Updated 10/17/18
Kenneth OsborneDigitally signed by Kenneth Osborne Date: 2022.11.10 13:51:12 -06'00'